1 Phone CPR Project EENA CONGRES APRIL 2013 · 2013. 10. 30. · 1 SPF SANTE PUBLIQUE, SECURITE DE...

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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT mercredi 30 octobre 13

Phone CPR Project

EENA CONGRES APRIL 2013

Samuel Stipulante

Medical dispatching 112 of Liege (Belgium)

Federal Public Service: Health, food chain safety and environment


•  Introduction

•  Feasibility study

•  Organization of the Phone CPR’s team

•  Educational part

•  First educational outcomes

•  "Call in" : How to give instructions and send rescue in the same time

•  Scientific studies

•  Perspectives

•  Conclusions

Presentation outline 2


Introduction

•  Sudden cardiac arrest: Epidemiological aspects •  Capital factor: Promptness of the response •  Delays before the first medical response : + / - 8 minutes •  Low rate of initiated CPR by witness

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The phone CPR is an action that

involves:

Guide to a witness, trained or not to

basic life support, calling 112 giving simple instructions by telephone to

perform CPR.

Introduction 4


Feasibility study and difficulties.

Development of a T-CPR protocol:

Assess the victim's level of consciousness

Airway management:

Assess the airway

Look, listen, and feel for breathing

•  If the patient is breathing normally à recovery position •  If patient is not breathing normally à Starting Chest compressions

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Prospective study: CPR on Rescusi Anne

(SimMan Laerdal)

Ø  Location: Kinepolis (Cinema) Ø  4 Groups :

Ø  Untrained Ø 1.Assisted( NF-G) Ø 2.unassisted (NF-NG)

Ø  Trained: (nurses) Ø 3.Assisted (F-G) Ø 4.unassisted (F-NG)

CPR evaluation on the basis of the Cardiff test of BLS version (3.1)

6 Feasibility study and difficulties.


Feasibility study and difficulties. Median CPR score (under 8)


Conclusion of the feasibility study:

- Providing expertise for guided untrained provider - Improved performance in trained guided provider

Introduction of pre-orders for the policy note 2010

Phone CPR project

8 Feasibility study and difficulties.


Organization of the Phone CPR’s team 9

Working groups

PHONE CPR PROJECT FEDERAL SUPERVISION

Francophone Medical Dispatching Dutch Medical Dispatching

Educational part Scientific part Educ.coordinator Scient. Coordinator ERC trainer Scientific nurse

Educational part Scientific part Educ.coordinator Scient. Coordinator ERC trainer Scientific nurse


Educational choice

Updating theoretical and practical knowledge (Switzerland)

Vs.

Specific training in Phone CPR

à Specific Training ß

Message improvised less effective than a strict protocol based on a list of specific words to use

10 Educational part


Educational part

KNOWLEDGE CONFIDENCE MOTIVATION

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"Call in" : How to give instructions and send rescue in the same time

Call

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Medical dispatching

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"Call in" : How to give instructions and send rescue in the same time 13

Phone CPR software

Assess the victim's level of consciousness

Assess the airway

Starting CPR

Interactive software based on binary responses


Scientific studies

Impact of the implementation of the T-CPR protocol:

2 study in progress

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IN VIVO STUDY STRESS STUDY


IN VIVO objectives: Pre-post comparison of the impacts of the implementation of the protocol (general): (Number of CPR initiated by the witness, mortality, morbidity) Pre-post comparison of the impacts of the implementation of the protocol (specific): In case of Phone CPR: Impact on the "no flow time", the quality of CPR, the mortality and morbidity In case of sudden death without activation of the T CPR protocol: Search for the cause: (Non-participation of the bystander, poor estimation of the call taker, ...) à Proposal of improvement strategies

15 Scientific studies


Scientific studies 16

4/4

Stress

Sudden Death = painful situation for the witness

Assessing the psychological impact (positive and negative) on the providing of basic life support


Objectives:

•  Assess and quantify the stress during the call

•  Improve the protocol to increase the number of CPR without it being harmul for the bystander

•  Assessing the stress factors during the call

Scientific studies 17


Perspectives

•  Basic training for new employees •  Feasibility study: T CPR with DEA •  Feasibility study : Pediatric T CPR •  Implementation of Pediatric and DEA T CPR protocol •  Further studies "in vivo "and "Stress (longitudinal

studies) •  Establish a register of sudden cardiac arrest •  Public campaign •  International Collaboration

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Conclusions

•  Public health need

•  Desire of professionals and population

•  Educational part: Identical training for every call takers

•  Scientific part: Use of data in progress

•  Communication : Several media used

•  Perspectives: –  Added DEA and Pediatric protocol

–  Public campaign

–  Longitudinal studies

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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT

Thank you for your attention 20

[email protected]

For more informations and to obtain the final report :

1 Phone CPR Project EENA CONGRES APRIL 2013 · 2013. 10. 30. · 1 SPF SANTE PUBLIQUE, SECURITE DE...

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